Cincinnati Necktie
A synonym for Cincinnati Bowtie -- an upside-down titty fuck. The penis rests vertically between the breasts and points towards the abdomen, recalling the shape of a dapper cravat. The positioning of the shaft makes "necktie" a more accurate term than "bowtie."
Jenny wanted to dress like Avril Lavigne, so I told her I'd give her a Cincinnati Necktie.